SHADOW HEALTH - TINA JONES
HEALTH HISTORY ASSESSMENT
QUESTIONS AND ANSWERS
1. What is the primary reason for Tina Jones’s current visit to the clinic?
A. Annual physical examination
B. An infected scrape on her right great toe
C. Increasing shortness of breath from asthma
D. Follow-up for uncontrolled Type 2 Diabetes
Answer: B
Conceptual Explanation: Tina presents specifically because she scraped her right great
toe about a week ago and the wound has become red, swollen, and painful, indicating a
potential infection exacerbated by her diabetes.
2. Tina was diagnosed with Type 2 Diabetes at what age?
A. 18 years old
B. 30 years old
C. 28 years old
D. 24 years old
,Answer: D
Conceptual Explanation: Tina Jones reports being diagnosed with Type 2 Diabetes
Mellitus at the age of 24.
3. Which medication does Tina take for her Type 2 Diabetes, and what is her reported
adherence?
A. Insulin Glargine; strictly adherent
B. Metformin; occasionally misses doses
C. Glipizide; strictly adherent
D. Metformin; discontinued it six months ago
Answer: B
Conceptual Explanation: Tina is prescribed Metformin (1000mg twice daily) but admits
to being ‘non-compliant’ or inconsistent, often forgetting to take it.
4. What specific symptoms of hyperglycemia does Tina report during the review of systems?
A. Weight loss and tremors
B. Numbness in the fingers and toes
C. Blurred vision and frequent headaches
D. Increased thirst, frequent urination, and increased hunger
Answer: D
, Conceptual Explanation: Tina confirms the ‘3 Ps’ of hyperglycemia: polydipsia (thirst),
polyuria (urination), and polyphagia (hunger), which are hallmark signs of poorly
controlled diabetes.
5. Tina’s asthma is primarily triggered by which of the following environmental factors?
A. Perfumes and strong odors
B. Pollen and grass
C. Exercise and stress
D. Dust, cats, and cold air
Answer: D
Conceptual Explanation: Tina identifies dust, cats, and cold air as the primary triggers
that cause her asthma to flare up.
6. How often does Tina report using her Albuterol inhaler?
A. Every morning before work
B. Two or three times a week
C. Only once or twice a year
D. Daily, especially at night
Answer: B
Conceptual Explanation: Tina reports using her ‘puffer’ (Albuterol) approximately 2-3
times per week when she feels short of breath or encounters triggers.
HEALTH HISTORY ASSESSMENT
QUESTIONS AND ANSWERS
1. What is the primary reason for Tina Jones’s current visit to the clinic?
A. Annual physical examination
B. An infected scrape on her right great toe
C. Increasing shortness of breath from asthma
D. Follow-up for uncontrolled Type 2 Diabetes
Answer: B
Conceptual Explanation: Tina presents specifically because she scraped her right great
toe about a week ago and the wound has become red, swollen, and painful, indicating a
potential infection exacerbated by her diabetes.
2. Tina was diagnosed with Type 2 Diabetes at what age?
A. 18 years old
B. 30 years old
C. 28 years old
D. 24 years old
,Answer: D
Conceptual Explanation: Tina Jones reports being diagnosed with Type 2 Diabetes
Mellitus at the age of 24.
3. Which medication does Tina take for her Type 2 Diabetes, and what is her reported
adherence?
A. Insulin Glargine; strictly adherent
B. Metformin; occasionally misses doses
C. Glipizide; strictly adherent
D. Metformin; discontinued it six months ago
Answer: B
Conceptual Explanation: Tina is prescribed Metformin (1000mg twice daily) but admits
to being ‘non-compliant’ or inconsistent, often forgetting to take it.
4. What specific symptoms of hyperglycemia does Tina report during the review of systems?
A. Weight loss and tremors
B. Numbness in the fingers and toes
C. Blurred vision and frequent headaches
D. Increased thirst, frequent urination, and increased hunger
Answer: D
, Conceptual Explanation: Tina confirms the ‘3 Ps’ of hyperglycemia: polydipsia (thirst),
polyuria (urination), and polyphagia (hunger), which are hallmark signs of poorly
controlled diabetes.
5. Tina’s asthma is primarily triggered by which of the following environmental factors?
A. Perfumes and strong odors
B. Pollen and grass
C. Exercise and stress
D. Dust, cats, and cold air
Answer: D
Conceptual Explanation: Tina identifies dust, cats, and cold air as the primary triggers
that cause her asthma to flare up.
6. How often does Tina report using her Albuterol inhaler?
A. Every morning before work
B. Two or three times a week
C. Only once or twice a year
D. Daily, especially at night
Answer: B
Conceptual Explanation: Tina reports using her ‘puffer’ (Albuterol) approximately 2-3
times per week when she feels short of breath or encounters triggers.
